# SHORELINE HEALTHCARE GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356999353
- **Authorized official:** KELLI REID (MANAGER)
- **Authorized official phone:** (757) 904-3490

## Contact information

- **Practice address:** 848 GRANBY ST STE 205, NORFOLK, VA 23510-2009
- **Practice address phone:** (757) 904-3490
- **Practice address fax:** (757) 937-0341
- **Mailing address:** 2085 LYNNHAVEN PKWY STE 106-412, VIRGINIA BEACH, VA 23456-1497
- **Mailing address phone:** (757) 904-3490
- **Mailing address fax:** (757) 937-0341

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/03/2019
- **Last updated:** 01/28/2020